Individual provider Active NPI

Dawnell Edette McIntosh, DNP, ARNP

  • Nurse Practitioner
  • Bettendorf, IA
National Provider Identifier
1962929711
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A095388 Issued in IA
Practice address
2282 Aaa Court
Bettendorf, IA 52722-1009
Phone
(563) 341-7378
Fax
(800) 861-9623
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A095388 IA
Nurse Practitioner 363L00000X A095388 IA Primary

Addresses

Primary practice location

2282 Aaa Court
Bettendorf, IA 52722-1009

Mailing address

2282 Aaa Court
Bettendorf, IA 52722-1009
Phone (563) 341-7378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180608002060 IA Practitioner - Nurse Practitioner 1850646175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2882 Aaa CT
Bettendorf, IA 52722-3406
Phone (563) 341-7378

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A095388IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Innovations PLLC Nurse Practitioner CurrentSince Feb 1, 2023 Accepting new patients

Locations

2882 AAA Ct
Bettendorf, IA 52722
Phone (563) 341-7378

Interoperability endpoints

  • Direct secure messaging: sleepinnovations.dawnellmcintosh@154862.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1962929711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 AAA COURT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221009",
            "telephone_number": "563-341-7378",
            "fax_number": "800-861-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 AAA COURT",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221009",
            "telephone_number": "563-341-7378",
            "fax_number": "800-861-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "DAWNELL",
        "middle_name": "EDETTE",
        "name_prefix": "Mrs.",
        "credential": "DNP, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A095388",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A095388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.